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Dissertations / Theses on the topic 'Mental health and psychological support services'

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1

Constant, Eleanor R. "Psychological support for ex-military families." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12881/.

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There is a complex interaction between familial functioning and veteran mental health, with familial relationships often being affected. Family therapy is not routinely recommended or offered for veterans in the UK. This study used a narrative approach to explore the experiences of veterans and spouses having received family therapy. Specifically, this study aimed to explore what stories individuals in an ex-military family would tell of their experience of family therapy, what narrative themes occurred and what the perceived impact on familial relationships was following family therapy. Individual narrative interviews were conducted with four veterans and five spouses. Individual interviews were followed by joint couple interviews with two couples. Main findings suggested that typically veterans would tell a ‘romance’ story while spouses were more likely to tell a ‘tragedy’ or ‘epic’ story. Narrative themes occurring from veterans, spouses and couples included: family therapy helpful, lack of support, changes in veteran, impact of difficulties on family relationships and military culture and transitioning. Finally the study found that family therapy had positively impacted familial relationships, particularly highlighting improvements in couple communication and shared or alternative perspectives to be important. Limitations, clinical implications and future directions are discussed.
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Al-Rowaie, Odah O. "Predictors of Attitudes Toward Seeking Professional Psychological Help Among Kuwait University Students." Diss., Virginia Tech, 2001. http://hdl.handle.net/10919/30166.

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The purpose of this study was: (1) to investigate Kuwait University (KU) students' attitudes toward seeking professional psychological help; and (2) to investigate if family, friends, and societal support played a role in the student's decision to seek professional psychological help as measured by the Family, Friends, and Societal Support Scale (FFSS), which was developed by the author. Other assessment tools used in the study included: (1) Attitudes Toward Seeking Professional Psychological Help Scale (ATSPPHS) as developed by Fischer and Turner (1970); (2) Orientation Toward Utilization of Social Resources (OTUSR) as developed by Vaux, Burda, and Stewart (1986); (3) a modified Life Stress Events Scale (LSE) based on 18 items selected from the 43 items Social Readjustment Scale published by Holmes and Rahe (1967); and (4) Demographic Data Sheet (DDS). A total of 529 participants completed all five assessment tools. The results indicated that KU students have less favorable attitudes toward seeking professional psychological help than groups studied by other researchers. The results also supported previous research, which found females, in general, to have more favorable attitudes toward seeking professional help than males. Individuals who received previous counseling were more likely to have favorable attitudes toward seeking professional help than those who did not receive such help. Students who majored or minored in psychology had more favorable attitudes toward counseling than those who were not psychology majors or minors. The newly developed scale, FFSS, was an effective predictor of KU students' attitudes toward seeking professional psychological help and explained more variance in ATSPPHS scores than any other predictors used in the study.<br>Ph. D.
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3

Beckham, Tony A. "Adolescent mental health services the use of psychological consulting /." Theological Research Exchange Network (TREN), 2005. http://www.tren.com.

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4

O'Connell, Christine. "Integrating physical and psychological wellbeing in child health." Thesis, Canterbury Christ Church University, 2016. http://create.canterbury.ac.uk/15004/.

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Research shows that the integration of physical and mental healthcare in paediatric settings is beneficial in terms of clinical and cost effectiveness (Kahana, Drotar, & Frazier, 2008; Douglas & Benson 2008, Griffin & Christie, 2008). Due to the high rates of mental health problems within this population, several studies have shown that referral to paediatric psychology should be increased (e.g. Wagner & Smith, 2007). However, there are few studies investigating factors influencing healthcare professionals’ referral behaviour. The current study used theory of planned behaviour (Ajzen, 1988; 1991) to develop a questionnaire which explores factors influencing the referral of children and families to paediatric psychology. Psychometric properties of the questionnaire were examined. Findings indicate that the questionnaire holds good reliability and validity and that the main constructs of theory of planned behaviour are useful in predicting intention to refer to paediatric psychology. Specific beliefs about referral were also shown to influence intention to refer. Findings that individual referrer factors such as attitudes and beliefs can impact healthcare professionals’ referral behaviour indicates that multidisciplinary interventions and inter-professional education relating to the psychological aspects of illness are required. Recommendations for future research are discussed.
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Roth, Susan Elizabeth 1959. "LIKELINESS OF SEEKING PROFESSIONAL PSYCHOLOGICAL SERVICES." Thesis, The University of Arizona, 1986. http://hdl.handle.net/10150/277259.

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6

Belt, Leslie Marie, and Leslie Paul Schellbach. "Perceptions of mental health services among marines." CSUSB ScholarWorks, 2007. https://scholarworks.lib.csusb.edu/etd-project/3141.

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7

Baroni, Jessica. "The Psychological Effects of Restraints on Mental Health Workers." Antioch University / OhioLINK, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=antioch1539123849184469.

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8

Hodge, Patricia Ann. "The family support services study." CSUSB ScholarWorks, 1989. https://scholarworks.lib.csusb.edu/etd-project/547.

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9

Faust, Kimberly. "Attitudes toward mental health and seeking psychological help among Pennsylvania German college students." Instructions for remote access. Click here to access this electronic resource. Access available to Kutztown University faculty, staff, and students only, 2001. http://www.kutztown.edu/library/services/remote_access.asp.

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Thesis (M.A.)--Kutztown University of Pennsylvania, 2001.<br>Source: Masters Abstracts International, Volume: 45-06, page: 2775. Typescript. Abstract precedes thesis as preliminary leaf ix. Includes bibliographical references (leaves 32-39).
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10

Gaffney, Ebony. "African American Clergy's Attitude Toward Professional Mental Health Services." ScholarWorks, 2016. https://scholarworks.waldenu.edu/dissertations/2122.

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Evaluating the attitude of African American clergy toward parishioners seeking professional mental health services for mental illness has important treatment implications. Religion and spirituality are equally important determinants of mental health and can affect African American clergy's attitudes toward professional care for mental illness. Utilizing the health belief model (HBM), this quantitative study examined the role of theological beliefs, education, and personal experience with mental illness as they correlated with clergy's attitudes toward seeking professional mental illness services. Approximately 98 African American Protestant Clergy in the states of Georgia and South Carolina participated in this study. Data were collected using self-administered surveys via e-mail and mailings using the religious attitude scale (RAS) and the attitude toward seeking professional psychological help scale (ATSPPHS). A multiple linear regression analysis was used to examine the correlation of independent variables. The results of this study indicated that theological beliefs (p = 0.025) but not education (p = 0.084) or personal experience with mental illness (p = 0.078) had a direct effect on the African American clergy attitudes toward parishioners seeking professional mental health services. This research supports the idea that conservative African American pastors' attitudes toward congregants seeking professional mental health services are positive. The results of this study can influence social change by increasing access through clergy's pivotal role as the gatekeeper for parishioners who seek help for mental illness.
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11

Leduc, Caleb. "Identifying return to work predictors among individuals obtaining psychological services." Thesis, Laurentian University of Sudbury, 2014. https://zone.biblio.laurentian.ca/dspace/handle/10219/2139.

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Mental health problems have incapacitating effects on an individual’s capacity to hold and maintain employment. Over half a million Canadians are absent from work due to mental health problems every day, which costs Canadian companies an estimated 14% of their net annual profit. Individuals who miss work for mental health reasons often experience longer periods of absence, and return to work at a much lower rate than individuals absent for other reasons (e.g., physical injury). Regrettably, empirically based return to work interventions focused on mental health problems are lacking, likely the product of a lack of consensus surrounding salient predictors of return to work. The current study sought to add to current literature aimed at identifying factors that influence the likelihood of successful re-entry into the workforce. A review of patient files from a private psychological practice yielded the sample. Clients were selected based on their satisfaction of one central criterion: having experienced a workplace absence and suffered from a mood or anxiety disorder as classified by the DSM-IV-TR. Recruitment letters and consent forms were mailed to 74 eligible participants, for a response rate of 68% (n=50). The sample was predominantly female (n=38 or 76%). Of the 50 participants, 27 successfully reintegrated to the workforce (RTW=54%), following a mean absence of 13 months (SD=7.37). Emerging from the results are higher risk categories (e.g., physically injured workers, low educational requirements, disability providers) of reduced likelihood of successful return to work. The role of symptom severity and availability of social support is also discussed along with best practice implications for stakeholder/practitioners.
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Latter, Philip Joseph. "Trailers and Mental Health: An Exploration of Psychological Distress Amongst Mobile Home Dwellers." Thesis, Virginia Tech, 2009. http://hdl.handle.net/10919/31339.

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This thesis examines whether residing in a mobile home predicts higher rates of psychological distress. Using combined data from the General Social Survey (1994-2006), I differentiate housing into four distinct categories: mobile homes, conventional homes, apartments, and townhouses. After looking extensively at the history and experience of residing in a mobile home, particularly when viewed through a social stress theory lens, I hypothesize that mobile home residents should have higher levels of psychological distress after socioeconomic variables are controlled. While mobile home residents have the highest raw scores for psychological distress (a composite of depression and anxiety), these did not hold significance after the inclusion of the socioeconomic and control variables. Conversely, social network ties were stronger in the mobile home community than in other types of housing and this remained so after socioeconomic variables were included. This thesis supports Shelton, et al.â s (1983) findings that mobile home residents are in many ways more similar to their conventional home counterparts than those living in apartments. It also supports social stress theoryâ s assertion that social support is associated with better mental health and that socioeconomic factors are paramount when predicting levels of psychological distress.<br>Master of Science
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Donaghay-Spire, Eloise G. "An exploration of psychological interventions in the acute inpatient mental health setting." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12867/.

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Literature suggests that individuals experiencing acute mental health difficulties can benefit from psychological input, with calls to increase psychological provision in inpatient mental health settings in the United Kingdom (UK). Despite this, there is limited research to support this demand, which may in part be due to inherent difficulties in conducting research in this setting. Using an interview design and narrative analysis, this paper explored staff members’ and service-users’ experiences of inpatient psychological interventions in National Health Service (NHS) inpatient mental health settings. Evidence was found to support the use of direct, indirect and strategic interventions for individuals, groups, families and staff teams. Formulation and the therapeutic relationship were conceptualised as common features of such input. Connections between inpatient psychology and change within the stories suggested that interventions can help people make sense of a crisis, improve relationships and contribute to meaningful recovery. Barriers were also presented, suggesting that psychological input in this setting might not be right for everybody. This paper demonstrates that psychological input in the acute inpatient mental health setting is perceived as meaningful and can lead to changes. There is also a sense that this provision can be challenging, highlighting the need for further research.
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Wilkinson, H. "Staff empathy and burnout in forensic mental health services : the impact of psychological formulation." Thesis, University of Liverpool, 2016. http://livrepository.liverpool.ac.uk/3003382/.

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15

Mokgale, Elizabeth Kelebogile. "Knowledge about and attitudes to psychological services in a rural village in South Africa." Pretoria : [s.n.], 2004. http://upetd.up.ac.za/thesis/available/etd-02112005-080445.

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16

Lett, Judy. "Utilization and evaluation of formal support services among informal caregivers of non-institutionalized elderly with dementia." Thesis, McGill University, 1994. http://digitool.Library.McGill.CA:80/R/?func=dbin-jump-full&object_id=55508.

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This study explored the utilization and evaluation of formal support services among caregivers of the elderly who suffer from dementia. Data for the analyses were obtained from the Canadian Study on Health and Aging, funded by Health and Welfare Canada (1991-92). The sample consisted of 327 informal caregivers of non-institutionalized elderly with dementia.<br>Results indicated that formal support service users cared for demented elderly who had greater ADL/IADL functional limitations, reported more burden, tended to be husbands, tended not to live with the care recipient, reported less informal support, and tended to live in the Prairie region. They also tended to perceive their health to be better than a year ago. Service users' reports indicated that utilization of in-home services was considerably greater than that of out-of-home services. Out-of-home respite and caregiver support groups had the largest number of barriers to use. The most common barriers identified for all services included cost and perceived lack of effectiveness.
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Onken, Steven Justin. "Facilitating consumer voice in public mental health : exploring congruence in conceptualizing and prioritizing services and supports /." Digital version accessible at:, 2000. http://wwwlib.umi.com/cr/utexas/main.

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18

Lucas, Rachel. "Stress, coping and support for those working within Mental Health Services : the role of the Community Mental Health Team, Clinical Psychologist." Thesis, University of Leicester, 2009. http://hdl.handle.net/2381/4235.

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Those working within mental health services experience considerable stress. Organisational change from hospital to community based, and single to multi-disciplinary provision of services, has been linked with increased stress due to heightened role ambivalence and/or role conflict. The empirical evidence for this supposition is reviewed. Evidence suggests that role ambivalence and/or role conflict is a stress of mid-range prevalence for mental health workers. There is some evidence that organisational changes heighten this stress and indication that home/work role conflict is a particular source of distress which is actively managed by workers. Clinical psychology is identified within the review as a profession which is notable in experiencing role stressors within the current community mental health team (CMHT) structures. This is also a profession that have skills which could be of particular assistance in ameliorating stressors. The thesis reports a qualitative study investigating the experiences of CMHT clinical psychologists of giving and receiving support to and from colleagues. Findings suggest that although clinical psychologists’ consider supporting colleagues part of their role, they experience difficulty in this function within their CMHT working. Key issues regarding this and patterns of support are identified, with consideration of the positioning of psychologists within CMHT and peer group subsystems. The implications of attempting to foster and maintain effective cycles of support within this work setting are discussed. The research process is also critically appraised and issues learned and how these inform future research and practice outlined.
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19

Wilding, Michael G. "Experiences of living with type 1 diabetes : psychological distress and clinical implications." Thesis, Canterbury Christ Church University, 2015. http://create.canterbury.ac.uk/13755/.

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Living with diabetes can present a number of challenges for individuals concerned. Managing diabetes day to day involves a complex medication and behavioural regime which interrelates with various important psychosocial factors. Previous research suggests that people living with diabetes are as much as two-three times more likely to experience mental health difficulties compared with the general population. However evidence is emerging that many of these difficulties may in fact be a direct result of feeling distressed about living with a complicated and stressful chronic health condition, and not necessarily resultant from co-morbid psychiatric illness. These experiences are known by the term diabetes related distress. To date psychosocial factors related to living with diabetes have mainly been explored quantitatively. However, qualitative approaches have increased in popularity in diabetes research in recent years and can add valuable and rich information to existing data from quantitative research. Extant qualitative research in diabetes has mainly focused on people living with type 2 diabetes or children with type 1 diabetes, leaving adults living with type 1 diabetes as a relatively under researched group. This study aimed to answer the following research questions:Primary: What are the lived experiences of adults with type 1 diabetes? And secondary:What aspects of living with type 1 diabetes are experienced as distressing? ; and What are the potential implications for health services? Eight adults living with type 1 diabetes were interviewed about their experiences. Interviews were transcribed and analysed using interpretative phenomenological analysis. Six major themes emerged from participants' interviews. These were: Experiences of diagnosis, Physical impact of type 1 diabetes, Psychological impact of type 1 diabetes, Social impact of type 1 diabetes, Influence of healthcare teams and Ways of coping. Example subthemes are; Feeling frustrated and restricted by treatment regimes, psychological and emotional distress, constant awareness and worry, impact on development and sense of self, stigma and lack of understanding from others, support from diabetes team and experiences of a simplistic view of diabetes. Participants reported a wide variety of experiences related to the biological, psychological and social components of type 1 diabetes. Some of these were experienced as highly distressing whilst others were more easily managed. This was often dependent on individual differences and was not necessarily static over time. Further awareness of this in practice and a focus on diabetes and its treatment within the context of people’s unique psychosocial circumstances is highly important in supporting people to reduce diabetes related distress, which can improve glycaemic control, health related quality of life and wellbeing.
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Gay, Sara Svoboda. "Understanding elementary teachers' beliefs, attitudes and intentions to support mental health services in schools." Diss., Columbia, Mo. : University of Missouri-Columbia, 2006. http://hdl.handle.net/10355/5901.

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Thesis (Ph. D.)--University of Missouri-Columbia, 2006.<br>The entire dissertation/thesis text is included in the research.pdf file; the official abstract appears in the short.pdf file (which also appears in the research.pdf); a non-technical general description, or public abstract, appears in the public.pdf file. Title from title screen of research.pdf file viewed on (March 2, 2007) Vita. Includes bibliographical references.
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Dugan, Shaun Spencer. "Effects of personality, life stress, and social support upon psychological distress among undergraduate students." Thesis, University of Sussex, 1999. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.285348.

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Irwin, Jay A. "Stress and support among Southern lesbians an application of the stress process model /." Thesis, Birmingham, Ala. : University of Alabama at Birmingham, 2009. https://www.mhsl.uab.edu/dt/2009p/irwin.pdf.

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23

Tardif, Annette M. "Reported psychological distress and willingness to utilize mental health services for disabled and non-disabled university students." Thesis, New Mexico State University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10679320.

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<p> Disabled students graduate from post-secondary education at a lower rate than non-disabled students. It is unknown if disabled and non-disabled students experience equal access to mental health services. This mixed methods study compared participants' reported psychological distress and willingness to utilize mental health services among disabled and non-disabled university students (N=96) and analyzed qualitative data regarding barriers and supports to utilizing mental health services. Disabled students reported more psychological distress and higher willingness to utilize mental health services than non-disabled students. These findings support the importance of promoting mental health care for disabled postsecondary students.</p><p>
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Thielking, Monica, and n/a. "An investigation of attitudes towardss the practice of school-based psychological services." Swinburne University of Technology, 2006. http://adt.lib.swin.edu.au./public/adt-VSWT20060814.091430.

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The provision of school based psychological services in Victorian primary and secondary schools dates back to well before the Second World War. Since then, however, the activities that make up the role of school psychologists have changed substantially. School psychologists' roles have become more varied than the original psychometric focus and reflect a more systemic approach to the conceptualization of student problems. Within Australia, school psychologists can be found servicing single or multiple schools in the government, independent and Catholic school sectors, fulfilling a range of functions and dealing with a diversity of student issues. However, Australian academic research into the professional practice issues associated with the provision of school-based psychological services is rare. Therefore, this thesis sought to investigate a range of professional issues associated with the provision of school-based psychological services for Victorian school psychologists working in single and multiple schools in the government and non-government primary and secondary school sectors. In addition to surveying Victorian school psychologists, principals and teachers were also surveyed in order to ascertain their attitudes towards school-based psychological services. The sample consisted of 81 school psychologists, 21 principals and 86 teachers. The results revealed that school psychologists participate in a variety of activities, including a number of activities that reflect a systemic model of service delivery. They also deal with a broad range of student issues, some of which are quite serious in nature. However, the study also revealed a number of professional issues that were in need of improvement. Some of these included a lack of participation in regular supervision for school psychologists, school psychologists' dissatisfaction with some industrial and professional conditions associated with their role and differences in attitudes between psychologists, principals and teachers regarding the activities and responsibilities of school psychologists. Results from the study provide plausible evidence for the need to support school psychologists in the valuable work that they do within schools through improved industrial conditions, appropriate professional development, and regular supervision. Furthermore the results also reveal a need to educate and participate in dialogue with the educational community in order to increase understanding of school psychologists' roles and professional responsibilities.
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Wedlock, Laura. "The role of interpreters in accessing psychological support and developing relationships in mental health and Deafness." Thesis, Lancaster University, 2017. http://eprints.lancs.ac.uk/87620/.

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The Deaf population are vulnerable to experiencing mental health difficulties. A qualitative meta-synthesis, reported in section one of this thesis, sought to explore the experiences of deaf individuals who access mental health services and clinicians who provide those services. The synthesis considered the personal, social, communicative, service and professional factors that influence service accessibility for deaf people. It contends that current provision of mental health services does not meet client need. Consequently, the review considers how access to sign language interpreters, education, and collaboration between deaf clients, interpreters and mental health services are instrumental in generating change and improving access. In a further exploration of the experience of mental health care for deaf people, the research paper, reported in section two of the current thesis, examined the role of the British Sign Language (BSL) interpreter in the communication of compassion and development of therapeutic relationships between a mental health clinician and their deaf client. Findings identified that the therapeutic process relies on collaboration, continuity and trust between all individuals; The existence and nurturing of a ‘triangle of care’ between client, clinician and interpreter leads to stronger therapeutic relationships and better therapeutic outcomes. The research concluded that interpreters must be viewed as part of the clinical team and be supported in their role. Deaf clients must be involved in service development, and clinicians must be willing to improve their knowledge and adapt their practice. The critical appraisal, reported in section three of the current thesis, allowed an opportunity to reflect on personal and professional learning, the research process and results. The importance of reflexivity in qualitative research was considered, alongside research strengths and limitations.
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Ashby, Kimberly Marie. "Black Women College Students’ Use of Mental Health Services and Coping Methods for Emotional Support:." Thesis, Boston College, 2020. http://hdl.handle.net/2345/bc-ir:109022.

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Thesis advisor: Janet E. Helms<br>The present study explored the ways in which Black women college students support themselves emotionally in the face of racism and sexism at their predominantly White colleges and universities (PWIs). Intersectional theory (Crenshaw, 1991) and invisibility theory (Helms, 2017) were used to guide the study. Intersectional theory proposes that Black women college students at PWI colleges and universities experience intersectional racism-sexism in the form of hostile climate factors. Invisibility theory proposes that Black women college students may feel invisible because they experience racist-sexist, hostile climate factors and, as a result, may be at risk for developing mental health issues. Participants were eight Black women college students, ages 18 to 22 years, who identified with a range of sexual orientations, locations of origin, and academic interests, and were attending universities that varied in terms of prestige and cost. Narrative inquiry and analysis of interviews was used to allow Black women’s narratives to center their individual life experiences of coping with racism-sexism. Four research themes that guided the study were (a) the nature of Black women college students’ perceived racist-sexist hostile climate factors at their PWI colleges and universities, (b) the extent to which their experiences with racism-sexism influenced their emotional health, (c) what services or activities the women used to cope with emotional issues if they occurred, and (d) the extent to which shame and stigmatization influenced their use or nonuse of formal mental health treatment when experiencing emotional health problems. Results demonstrated that consistent with intersectional theory, participants experienced racist/sexist, hostile climate factors before and during college— primarily through academic microaggressions from teachers and college professors. Consistent with invisibility theory, many of the participants experienced emotional health problems that they linked to their experiences of racist/sexist, hostile climate factors. Implications include the need for further research on Black women college students’ experiences of racism/sexism and their subsequent mental health experiences and the need for clinicians to address Black women college students’ experiences of racism-sexism in treatment<br>Thesis (PhD) — Boston College, 2020<br>Submitted to: Boston College. Lynch School of Education<br>Discipline: Counseling, Developmental and Educational Psychology
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Mackenzie, Corey Scott. "The relationship between attitudes toward seeking professional psychological help and intentions to use mental health services." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk2/ftp02/NQ52858.pdf.

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Armstrong, Meredith. "An art based support programme for the amelioration of general psychological distress in marginalised children in South Africa." Thesis, Rhodes University, 2011. http://hdl.handle.net/10962/d1003730.

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This study aimed to construct, and implement an in-school "art expression" based programme designed to aid in mitigation of psychological stress, behavioural difficulties, and self-negativity frequently experienced by marginalised children. It was developed for application within schools that cater for children exposed to neglect and/or abuse resulting from poverty in South Africa. This programme outline was developed and implemented through intensive exploration and review of previously effective art therapy, art expressive methods and techniques in similar contexts, together with the knowledge and experience of a qualified art therapist and educational psychologist. Data was collected through open-ended informal qualitative interviews, observations, and photographs of artworks produced during sessions. These were then analysed in conjunction, using the content analysis method, visual interpretive measures and thematic analysis. This enquiry documented the process of art creation through "art expression", and its ability to ameliorate psychological difficulties affecting marginalised children in South Africa. Following the establishment of trust between the researchers and the participants, the results found that the use of different art modalities demonstrated predominantly positive results in varying degrees. It is hoped that this study can be used to further practical interventions of this nature in comparable milieus in South Africa.
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Vermeer, Quist Heidi L. "Psychological assessment and consultation in service of the church a collaborative case study using the Multi-method Church Assessment Process /." Online full text .pdf document, available to Fuller patrons only, 2002. http://www.tren.com.

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Sines, David Thomas. "Valuing the carers : an investigation of support systems required by mental handicap nurses working in residential services in the community." Thesis, University of Southampton, 1991. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.305651.

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31

Thorrington, Selina. "Implicit and explicit self-stigma, psychological flexibility and outcomes in first episode psychosis." Thesis, Canterbury Christ Church University, 2013. http://create.canterbury.ac.uk/12336/.

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Section A reviews the literature from two areas: it looks first at empirical studies exploring self-stigma in psychosis and secondly at psychological flexibility in psychosis. In doing so, the review aims to consider the question as to whether the psychological flexibility model, as presented by Acceptance and Commitment Therapy, can help us to understand how and why self-stigma can have a detrimental impact on some individuals experiencing symptoms of psychosis. Section B reports on a quantitative study of self-stigma, psychological flexibility, psychological well-being and quality of life in a First Episode Psychosis population. Research suggests that individuals experiencing psychosis may self-stigmatise, whereby negative beliefs and stereotypes about mental health difficulties are internalised. This in turn has been found to impact negatively on a number of areas. The psychological flexibility model presented by Acceptance and Commitment Therapy may help us to understand this. This study aimed to explore self-stigma using both an explicit and implicit measure of self-stigma to see how these were related to psychological flexibility, quality of life and well-being. Twenty-six participants experiencing first episode psychosis were recruited. They completed self-report questionnaires pertaining to quality of life, psychological well-being, psychological flexibility and explicit self-stigma. In addition, they completed a computer based reaction-time task designed to measure implicit self-stigma. Significant relationships were found between explicit self-stigma and well-being, and between psychological flexibility, explicit self-stigma, quality of life and well-being. Explicit self-stigma was found to statistically mediate the relationship between flexibility and well-being. Implicit self-stigma was not related to any investigated variable. The findings suggest psychological inflexibility may lead to greater self-stigma, which in turn decreases psychological well-being. This implied that interventions geared towards increasing flexibility may not only improve well-being, but may also help address issues of self-stigma.
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Aloud, Nasser. "Factors affecting attitudes toward seeking and using rormal mental health and psychological services among Arab-Muslims population." The Ohio State University, 2004. http://rave.ohiolink.edu/etdc/view?acc_num=osu1078935499.

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Aloud, Nasser. "Factors affecting attitudes toward seeking and using formal mental health and psychological services among Arab-Muslims population." Columbus, Ohio : Ohio State University, 2004. http://rave.ohiolink.edu/etdc/view?acc%5Fnum=osu1078935499.

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Thesis (Ph. D.)--Ohio State University, 2003.<br>Title from first page of PDF file. Document formatted into pages; contains x, 135 p.; also includes graphics (some col.). Includes abstract and vita. Advisor: Keith Kilty, College of Social Work. Includes bibliographical references (p. 130-135). Available online via OhioLINK's ETD Center.
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Garland, Adam D. "The Effectiveness of Utilizing the Treatment Support Measure for Treatment Planning in Youth Mental Health Services." BYU ScholarsArchive, 2017. https://scholarsarchive.byu.edu/etd/6591.

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The use of treatment support tools to enhance client outcomes is not well understood in the youth treatment literature. Adult outcome researchers have found that the use of Clinical Support Tools (CST) leads to improved outcomes with clients identified as at risk for treatment failure. However, the American Psychological Association (APA) has noted that understanding important client factors that influence treatment is critical during the clinical formulation and treatment planning phase of therapy. No studies to date have evaluated the effectiveness of utilizing a CST as a treatment planning tool with youth clients. The purpose of this study was to evaluate the effectiveness of the Treatment Support Measure, a CST, for the purpose of treatment planning rather than as a reaction to clients who became at-risk for treatment failure. Two hundred and eight youth participants and their caregivers from three outpatient community mental health clinics were randomly assigned to a feedback (TSM-FB) or Non-FB condition. All participants completed the Youth Outcome Questionnaire (Y-OQ) at each session. The TSM was administered to clients in the TSM-FB condition during the intake session. Only therapists whose clients were in the TSM-FB condition received TSM and Y-OQ data. A multilevel model was created to evaluate for differences between conditions on the dependent variable. The initial randomization failed to create similar groups at intake and a statistically and clinically significant difference was detected on the Y-OQ at intake. As such, no conclusions can be drawn for hypotheses tied to the primary dependent variable. Premature termination (PT) rates were significantly lower for the TSM-FB condition when defined as attending more than one session. Contrastingly, there was no difference between conditions on PT when defining PT based on the therapist's opinion. A significant minority of therapists (40%) found that the TSM was useful for treatment planning compared to 10% which did not.
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Nordin, Maria. "Low social support and disturbed sleep : epidemiological and psychological perspectives." Doctoral thesis, Umeå : Umeå universitet, 2006. http://urn.kb.se/resolve?urn=urn:nbn:se:umu:diva-906.

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36

Collins, Antony. "Exploring psychological processes in reflective practice groups in acute inpatient wards." Thesis, Canterbury Christ Church University, 2011. http://create.canterbury.ac.uk/10342/.

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Section A consists of a critical review examining the research evidence relating to the effectiveness of reflective practice groups for staff in psychiatric inpatient settings, and the role of psychologically trained practitioners in providing facilitation using psychological formulations. Section B. The role of applied psychologists working in inpatient services is developing with a greater emphasis on providing support and consultation to staff teams. The research suggests that psychologically trained practitioners who facilitate reflective practice groups using psychological formulations can assist staff in developing a deeper understanding of patients’ difficulties, with the potential for improved treatment outcomes. This study aimed to address some of the gaps in the research by exploring the experiences of acute psychiatric inpatient ward staff attending reflective practice groups facilitated by psychologically trained practitioners. Using semi-structured interviews, nine multidisciplinary staff from four acute wards participated in the study. Grounded theory methodology was applied to investigate how staff experienced, processed, and operationalised psychological knowledge in their clinical practice. The results suggested staff increased their psychological understanding through a process of guided reflection, development of theory-practice links, and validation. This enhanced a capacity for mentalization, which generated a more compassionate and empathic stance. The clinical, theoretical and research implications are presented. Section C presents a critical appraisal of the research process.
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Sullivan, Luke. "Men, masculinity and male gender role socialisation : implications for men's mental health and psychological help seeking behaviour." Thesis, Canterbury Christ Church University, 2011. http://create.canterbury.ac.uk/10199/.

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The work comprises of three sections, Section A: Literature review This section reviews men's underutilisation of professional health care services and brings together the extant literature on men's help seeking for psychological difficulties. This is discussed specifically in relation to theories of male gender role socialisation and male development. Section B: Empirical Paper. Introduction: Men’s reluctance to access health care services has been under researched even though it has been identified as a potentially important predictor of poorer health outcomes among men. Male gender role socialisation and male development may be important in accounting for men’s underutilisation of mental health service in the UK. Method: A cross-sectional online survey was used to administer standardised self-report measures that were subject to regression analysis. Five hundred and eighty-one men from the UK general population completed the survey and 434 participants formed the final regression model sample. Results: Men who score higher on measures of traditional masculine ideology, normative alexithymia and fear of intimacy reported more negative attitudes towards seeking professional psychological help. Normative alexithymia accounted for the variance in help seeking previously observed by fear of intimacy during regression modelling. Sexuality and ethnicity also significantly accounted for a proportion of unique variance in men’s help seeking attitudes. People who had received previous support from a mental health professional showed more positive attitudes towards seeking psychological help. Conclusions: Men’s attitudes towards seeking psychological help were closely related to traditional masculine ideology and normative alexithymia. A degree of content or construct overlap may exist between normative alexithymia and fear of intimacy in men. Limitations of this study and implications for future research are discussed. Section C: Critical Review. This section provides critical appraisal and reflection on the study and research process. Personal learning is discussed alongside clinical implications and ideas for further research.
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Freeman, Adele. "Do the characteristics of high support accommodation predict the needs of mental health consumers?" Access electronically, 2004. http://www.library.uow.edu.au/adt-NWU/public/adt-NWU20050311.120851/index.html.

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39

Radford, Rebecca. "Care coordinators' responses to clients' trauma : the role of coping and perceived organisational support." Thesis, Canterbury Christ Church University, 2013. http://create.canterbury.ac.uk/12507/.

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Research suggests that working with trauma survivors can result in a range of negative effects including ‘vicarious trauma’, ‘secondary trauma’, ‘compassion fatigue’ and ‘burnout’ amongst other things. Although the impact of being exposed to traumatic stories has been investigated in a range of professionals no studies to date have explored the impact of this on UK mental health workers known as care coordinators. The aim of this study was to explore a sample of care coordinators responses to client’s traumatic stories and the role of coping and perceived organisational support. Twelve UK care coordinators (community psychiatric nurses, occupational therapists and social workers) from two NHS mental health recovery teams completed interviews about their experiences of hearing clients’ traumatic experiences. Grounded theory was employed to analyse the interviews. The care coordinators heard traumatic stories in their role and were ‘active participants’ in these disclosures. They also experienced short and long-term levels of distress which included a range of negative emotions, a mixture of positive and negative responses and a broadening of their perspectives on themselves, their clients and the world. Care coordinators also developed a range of individual coping strategies, experienced individual and organisational barriers to seeking support and experienced limited organisational support for hearing traumatic stories. This is the first UK study to investigate care coordinators’ responses to clients’ traumatic experiences. Therefore further exploratory studies are required in addition to studies with larger sample sizes and measures of trauma related symptoms.
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Dodge, Jan Marjorie. "THE RELATIONSHIP OF FAMILY SUPPORT TO ELDER WELL-BEING." Thesis, The University of Arizona, 1987. http://hdl.handle.net/10150/276455.

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A descriptive study was conducted to examine the relationship between family support and elder well-being of a group of ambulatory elders living in the community. Information regarding the elder parent's reporting of the overall support received by adult children and its affect on well-being was sought. Forty five female subjects, aged 65 to 91 years, participated in this study. The subjects completed a questionnaire which included the Demographic Questionnaire, Family Support Exchange Questionnaire, Family APGAR, and Philadelphia Geriatric Center Morale Scale. The sample population was homogeneous and no significant correlations were demonstrated between quantity or quality measures of family support and elder well-being. The study findings were consistent with previous studies in that elder parents generally live in close proximity to at least one adult child and have frequent contact with them. Elderly parents were satisfied with the support they received from children and would confide in their children.
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Paterson, Charlotte. "Psychological intervention for acute mental health inpatient care : a meta-analysis and feasibility study." Thesis, Edinburgh Napier University, 2018. http://researchrepository.napier.ac.uk/Output/1256371.

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Psychological intervention has been recommended to address some of the common problems reported in acute psychiatric inpatient services, such as having nontherapeutic environments, minimal provision of therapeutic interactions and activities and highreadmission rates. There is a small evidence base investigating the effectiveness of acute inpatient psychological therapy, however, this has never been reviewed or synthesised. Robust investigation of cross-diagnostic inpatient psychological intervention is alsoabsent, and whether this is feasible is unknown. Informed by the Medical Research Council (MRC) framework, this thesis examined and synthesised the current evidence base of controlled trials of psychological therapy for acute psychiatric inpatients for the first time. It also tested the feasibility of implementing and evaluating cross-diagnostic psychologically informed acute mental health care in comparison to treatment as usual. The latter was largely based on the Woodhaven Approach, which is theory-driven psychological model of care. The model offers psychological intervention for acute inpatients and targets mechanisms of psychological dysfunction identified by the Interacting Cognitive Subsystems model (ICS). This thesis, therefore, comprises two main studies: 1) a meta-analysis, and 2) a feasibility study. The meta-analysis focused on the effectiveness of brief inpatient psychological therapyon psychotic symptoms, risk of readmissions, and emotional distress (depression and anxiety). Results showed that in randomised and single-blind studies psychological intervention had little effect on psychotic symptoms. Other outcomes, however, showed more promising results. For example, although not significant, robust evidence suggests that brief psychological therapy may reduce emotional distress and risk of readmission for some acute inpatients. The feasibility study aimed to test the feasibility of implementing and evaluating a cross diagnostic psychological model of acute inpatient care, and gather preliminary clinical outcome data. Using a framework of methodological issues, the feasibility study showed that some aspects of the trial processes were run successfully, i.e. some clinical outcomes had good completion rates, some intervention components were successfully implemented and some outcomes produced effects which favoured the intervention group over the control group. However, other aspects of the trial processes were problematic and required amendment before progressing to a full trial. Key issues identified by the feasibility study include problematic eligibility criteria, poor implementation of some intervention components, poor engagement, poor completion of follow-up questionnaires and therefore poor trial retention. The feasibility study also highlighted methodological issues which have not yet been addressed, but are important in planning a future definitive trial, i.e. randomisation and assessor blinding. This thesis has provided the first study to test the feasibility of evaluating the effectiveness of this psychological model, in comparison to treatment as usual, and it was the first time the impact of this psychological model has been investigated in relation to re admissions. Overall, this thesis indicates that a cross-diagnostic approach to acute psychiatric inpatient psychological therapy is feasible, however further work is needed to fully implement the model into routine practice.
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Nash, Panya R. "A Mixed methods study of access and utilization of faith-based mental health support services for African-American consumers and their families." DigitalCommons@Robert W. Woodruff Library, Atlanta University Center, 2009. http://digitalcommons.auctr.edu/dissertations/70.

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The purpose of this study is to detail the availability and use of faith-based mental health services in Fulton County, Georgia. Specifically, this study examines mental health service availability and use patterns that influence African-American's use and with satisfaction with urban mental health services. What emerged from the mixed methods study that consisted of a survey, GIs map, and illustrative case study was a preference for culturally relevant mental health services but a disparity between service availability and accessibility. According to the results from the case study, the first hypothesis supports that consumers (and service providers) in the sample believe that faith-based organizations (FBO's) are more culturally sensitive to their needs. However, the second hypothesis, that FBO's increase access and utilization of mental health services to African American consumers and their families, are equivocal. According to data from the survey and GIs mapping, FBO's provision of mental health services is fragmented within and between FBO's and county-level systems of care. Finally, while GIs analyses confirm that FBO's are geographically closer to each other than local Fulton County mental health service providers; the survey results show that FBO's rarely share resources. FBO's provide referrals to county-level systems of care, but specific numbers of individuals that are referred by the sample population remains unknown. The study concludes with a discussion of the implications for social work policy, practice, and research.
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Hitchen, Sherrie. "Personal budgets for all? : an action research study on implementing self-directed support in mental health services." Thesis, University of Plymouth, 2013. http://hdl.handle.net/10026.1/1529.

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Background: The recent political agenda for health and social care requires more client-centred, personalised services. Self-Directed Support, encompassing Direct Payments and Personal Budgets, is designed to provide people with more choice and control over how their needs and outcomes are met. Personal budgets are available for eligible people however take-up is low in mental health services. Research Aims: The study was set in an NHS Health and Social care Trust covering a large predominantly rural area.The aims of this study were: (1) to develop Self-Directed Support within one mental health Trust and; (2) understand more fully service user and carer involvement in the process. Methods: This study used action research incorporating: a spiral methodological framework; a project steering group; and service user and carer co-researchers. Data collection took place between 2007 and 2011, and the project ran in three sequential spirals using qualitative methods to triangulate the findings and identify any divergence in data. Findings: Findings showed that organisational language, structures and power relations provide barriers to effective involvement of service users and carers. Action research is very relevant for researching projects involving transformational change in health and social care, and including service user and carer co-researchers adds rich and authentic data. Findings concerning Self-Directed Support concluded that it afforded people more choice, flexibility and control than previous policy, and an improved quality of life. Concerns about bureaucratic processes, lack of information and knowledge of Self-Directed Supportwere found. Workforce concerns about safety of service users under Self-Directed Support and cultural shifts to more democratic methods of working were reported. Conclusions: This study's results correspond closely with national studies: staff attitudes and culture need changing to empower people to take up Self-directed Support. Concerns about quality assurance and safety are prevalent. Mental health services pose additional obstacles in their structures and reliance on the medical model. Social care knowledge cannot be assumed for all mental health Trust practitioners.
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Lee, Tin-wai Grace, and 李天慧. "Social support and mental health: a comparison between newly arrived and locally born youth in HongKong." Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2000. http://hub.hku.hk/bib/B31250877.

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45

Solway, Rob. "Developing a psychological understanding of museum object handling groups in older adult mental health inpatient care." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12882/.

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An emerging body of evidence indicates that museum object handling sessions offer short term benefits to people in health care settings. The aim of this study was to further understanding of the psychological and social aspects of a museum object handling group held in an older adult mental health setting. Older adults (N = 42) from a psychiatric inpatient ward with a diagnosis of depression or anxiety took part in one or more of a series of nine museum object handling group sessions. Audio recordings of the sessions were subjected to a thematic analysis. Five main themes were identified: “responding to object focused questions”, “learning about objects and from each other”, “enjoyment, enrichment through touch and privilege”, “memories, personal associations and identity” and “imagination and storytelling”. The first four themes were congruent with existing literature associated with positive wellbeing and engagement outcomes. Imagination and storytelling was a new finding in the group context. This study offers preliminary support for museum object handling group sessions as an intervention in this healthcare setting. There may be potential to develop the therapeutic aspects of the sessions. Further research is recommended and areas for enquiry discussed.
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46

Bennett, Eleanor Davis. "Effects of a mental health training program on health care worker's knowledge and attitude and practice in Belize." Master's thesis, Faculdade de Ciências Médicas. Universidade Nova de Lisboa, 2012. http://hdl.handle.net/10362/7713.

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ABSTRACT This study was conducted to assess mental health knowledge, attitude and practices among health care workers in Belize before and immediately after a competency based training program in mental health. A baseline Knowledge, Attitudes and Practices (KAP) survey was given to health personnel, mainly nurses, working primary and secondary care. The intervention was a 13-week face-to-face training course for health care professionals with the objective of increasing their competency in mental health and reducing stigma. After the training a post intervention KAP survey was conducted among the original respondents. 88 health care workers completed the baseline survey and 61 of those respondents completed the post-intervention questionnaire. The results showed that the level of knowledge of the participants had improved by the training intervention and that in general, the intervention was effective in correcting some misconceptions about mental illness and reducing stigmatizing attitudes among the participants.
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47

Ahluwalia, Ekta. "Parental Cultural Mistrust, Background Variables, and Attitudes Toward Seeking Mental Health Services for Their Children." Thesis, University of North Texas, 1990. https://digital.library.unt.edu/ark:/67531/metadc330704/.

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Attitudes toward mental illness and the willingness to seek psychological treatment for their children among ethnic minority group parents were investigated. Participants consisted of black, Hispanic, Native American and Asian parents. All parents were given the Terrell and Terrell Cultural Mistrust Inventory, Cohen and Struening Opinions About Mental Illness Scale, Reid-Gundlach Social Services Satisfaction Scale, Fischer-Turner Attitudes Toward Seeking Professional Help Scale, and Ahluwalia Parents' Psychological Help-Seeking Inventory. A multiple regression model was used to explore the purpose of this study. Parental mistrust level, ethnicity, education, income level, and opinions about mental illness served as predictor variables. The criterion variables consisted of scores on the Social Services Satisfaction Scale and Attitudes Toward Seeking Professional Psychological Help Scale. The results indicated that the most significant predictor of psychological help-seeking was parental cultural mistrust level. Parents with higher cultural mistrust levels were less likely to seek help. Education was also predictive of black and Native American parents' help-seeking attitude and willingness to seek psychological help for their children. Black and Native Americans with lower levels of education were less willing to seek treatment for their children than members of those ethnic groups with higher levels of education. Ethnicity was also related to parental willingness to seek help for their children. Hispanic and black parents expressed more willingness to seek help than Native American and Asian parents. Finally, parents' opinions about mental illness were found to be significantly related to help-seeking attitude. Parents with positive opinions about mental illness were more likely to utilize professional psychological help than those parents with negative opinions about mental illness. Some clinical and theoretical implications of these findings are discussed.
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Chivers, Clare. "Disorders of sex development : developmental challenges and mothers' experiences of support." Thesis, Canterbury Christ Church University, 2014. http://create.canterbury.ac.uk/12845/.

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An increasing body of research has sought to determine the impact of Disorders of Sex Development (DSD) on the family of the affected child. Little is currently understood about the support needs of the family and how well these needs are met. With a focus on mothers as primary caregivers, Interpretive Phenomenological Analysis was used to analyse semi-structured interviews with eight mothers of children with DSD about their experiences of support. Four master themes emerged which encapsulated the stages in their child’s development when mothers most needed support, the importance of developing an understanding of the child’s condition, the lack of an acknowledgement of the emotional needs of the parent, and the importance of having close and trusted networks for support. Continuity and availability of support were considered important and while all participants prioritised maintaining privacy about the condition, a minority felt that this impacted on the level of support they received. Key periods of time for support were identified and while some felt that they were well supported others felt that their support did not meet their emotional needs. The results were discussed in light of previous research, and the clinical implications considered.
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Wang, Joseph S. "Understanding the mental health support services for and needs of refugee students: Perspectives from school practitioners in an urban setting." Miami University / OhioLINK, 2017. http://rave.ohiolink.edu/etdc/view?acc_num=miami1501277453680577.

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Turner, Karen Mary Thomas. "Parenting and family support in primary care settings /." St. Lucia, Qld, 2003. http://www.library.uq.edu.au/pdfserve.php?image=thesisabs/absthe17454.pdf.

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